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Aortic root replacement for aortic root aneurysm with severe aortic regurgitation and incidentally detected left ventricular hyper-trabeculation/noncompaction.主动脉根部置换术治疗合并严重主动脉瓣反流及偶然发现的左心室心肌致密化不全的主动脉根部瘤
Indian J Thorac Cardiovasc Surg. 2022 Sep;38(5):533-536. doi: 10.1007/s12055-022-01371-w. Epub 2022 May 21.
2
[Aortic Valve Replacement and Mitral Valve Plasty in a Patient with Left Ventricular Noncompaction Associated with Aortic Regurgitation and Mitral Regurgitation;Report of a Case].
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3
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Aortic elasticity and size are associated with aortic regurgitation and left ventricular dysfunction in tetralogy of Fallot after pulmonary valve replacement.在肺动脉瓣置换术后的法洛四联症中，主动脉弹性和大小与主动脉瓣反流及左心室功能障碍相关。
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本文引用的文献

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Correlation between pathoanatomic findings, imaging modalities, and genetic findings in patients with left ventricular hypertrabeculation/noncompaction.左心室心肌致密化不全患者的病理解剖、影像学和遗传学发现之间的相关性。
Expert Rev Cardiovasc Ther. 2021 Jul;19(7):595-606. doi: 10.1080/14779072.2021.1937128. Epub 2021 Jun 7.
2
Clinically significant incidental findings during preoperative computed tomography of patients undergoing cardiac surgery.心脏手术患者术前计算机断层扫描期间具有临床意义的偶然发现。
Interact Cardiovasc Thorac Surg. 2020 Nov 1;31(5):629-631. doi: 10.1093/icvts/ivaa160.
3
Left Ventricular Noncompaction Syndrome: Genetic Insights and Therapeutic Perspectives.左心室致密化不全综合征：遗传学见解与治疗展望。
Curr Cardiol Rep. 2020 Jul 9;22(9):84. doi: 10.1007/s11886-020-01339-5.
4
Effect of Noncompacted Myocardial Resection on Isolated Left Ventricular Noncompaction.非致密性心肌切除术对孤立性左心室非致密性的影响。
Ann Thorac Surg. 2020 Nov;110(5):e387-e389. doi: 10.1016/j.athoracsur.2020.03.071. Epub 2020 Apr 29.
5
Surgical restoration of left ventricular diastolic function: possible treatment for noncompaction cardiomyopathy.左心室舒张功能的外科修复：对致密化不全型心肌病的可能治疗方法。
J Card Surg. 2014 Nov;29(6):827-8. doi: 10.1111/jocs.12339. Epub 2014 Apr 22.
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Aortic valve replacement in a patient with left ventricular noncompaction.
Asian Cardiovasc Thorac Ann. 2015 Nov;23(9):1065-7. doi: 10.1177/0218492314532106. Epub 2014 Apr 14.
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Aortic valve replacement for aortic regurgitation with rare left ventricular non-compaction.
Ann Thorac Cardiovasc Surg. 2014;20(1):76-9. doi: 10.5761/atcs.cr.12.01939. Epub 2012 Nov 30.
8
A rare case of coronary artery bypass grafting in a patient with left ventricular noncompaction.左心室心肌致密化不全患者行冠状动脉旁路移植术 1 例罕见报告
Ann Thorac Surg. 2010 Dec;90(6):2047-9. doi: 10.1016/j.athoracsur.2010.05.035.
9
Reversible isolated left ventricular non-compaction?可逆性孤立性左心室心肌致密化不全？
Int J Cardiol. 2009 Aug 14;136(2):e35-6. doi: 10.1016/j.ijcard.2008.04.092. Epub 2008 Aug 9.
10
Left ventricular restoration surgery for isolated left ventricular noncompaction: report of the first successful case.孤立性左心室心肌致密化不全的左心室修复手术：首例成功病例报告。
J Thorac Cardiovasc Surg. 2007 Jul;134(1):246-7. doi: 10.1016/j.jtcvs.2007.03.021.

主动脉根部置换术治疗合并严重主动脉瓣反流及偶然发现的左心室心肌致密化不全的主动脉根部瘤

Aortic root replacement for aortic root aneurysm with severe aortic regurgitation and incidentally detected left ventricular hyper-trabeculation/noncompaction.

作者信息

Boldyrev Sergey, Finsterer Josef, Stöllberger Claudia, Suslova Valentina, Barbukhatty Kirill, Sef Davorin

机构信息

Scientific Research Institute - Ochapovsky Regional Clinical Hospital #1, 140 Rossiyskaya St, Krasnodar, 350086 Russia.

Kuban State Medical University, 140 Rossiyskaya St, Krasnodar, 350086 Russia.

出版信息

Indian J Thorac Cardiovasc Surg. 2022 Sep;38(5):533-536. doi: 10.1007/s12055-022-01371-w. Epub 2022 May 21.

DOI:10.1007/s12055-022-01371-w
PMID:36050986
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9424400/
Abstract

A 54-year-old male with severe aortic regurgitation (AR), aortic root aneurysm, left ventricular hyper-trabeculation/noncompaction (LVHT) and systolic dysfunction with a left ventricular ejection fraction (LVEF) of 52% underwent successful aortic root replacement. Intraoperative video-endoscopy confirmed LVHT. At 3-year follow-up, he remains in an excellent clinical condition and echocardiography shows an improvement of the systolic function, LVHT and LVEF of 66%. Timely surgical correction of severe AR may also lead to improvement of systolic function in a patient with LVHT.

摘要

一名54岁男性，患有严重主动脉瓣反流（AR）、主动脉根部瘤、左心室心肌致密化不全（LVHT）以及收缩功能障碍，左心室射血分数（LVEF）为52%，成功接受了主动脉根部置换术。术中视频内镜检查证实存在LVHT。在3年的随访中，他的临床状况极佳，超声心动图显示收缩功能、LVHT有所改善，LVEF提高至66%。对于患有LVHT的患者，及时手术纠正严重AR也可能导致收缩功能改善。